Chapter 7: Head, Neck, and Face Disorders

Question 1

A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is most likely because of the inflammation?

Answer 1

Allergen

Question 2

One of the first-line treatments in patients with allergic rhinitis is the use of nasal corticosteroid sprays. What is the anticipated onset of symptom relief with the use of these medications?

Answer 2

1 to 2 days

Question 3

The nurse practitioner knows that antihistamines work primarily through which of the following mechanisms?

Answer 3

Inhibiting histamine receptor sites

Question 4

Cromolyn sodium may also be used in the treatment of allergic rhinitis. What is the mechanism of action of this medication?

Answer 4

Mast cell stabilization

Question 5

Patients that have atopic disorders are mediated by the production of IGE will have histamine stimulated as an immediate phase response. This release of histamine results in which of the following?

Answer 5

Bronchospasm, vascular permeability, and vasodilatation

Question 6

Which of the following maneuvers is used to induce symptoms of benign paroxysmal positional vertigo?

Answer 6

The Dix-Hallpike maneuver

Question 7

You have a patient complaining of vertigo and want to know what could be the cause. Knowing there are many causes for vertigo, you question the length of time the sensation lasts. She tells you several hours to days and is accompanied by tinnitus and hearing loss. You suspect which of the following conditions?

Answer 7

Ménière’s disease

Question 8

Sensory impairment (vision and hearing) in the elderly is associated with:

Answer 8

All of the above

Question 9

Which of the following conditions is the leading cause of blindness in the United States?

Answer 9

Diabetic retinopathy

Question 10

A slightly elevated elastic tissue deposit in the conjunctiva that may extend to the cornea but does not cover it is known as a:

Answer 10

Pinguecula

Question 11

A nonmodifiable risk factor for the development of cataracts is:

Answer 11

Strong family history

Question 12

Causes of sensorineural hearing loss include:

Answer 12

Otosclerosis

Question 13

Clinical findings in patients with nonproliferation retinopathy include:

Answer 13

Microaneursyms

Question 14

In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion?

Answer 14

Leukoplakia

Question 15

A gross screening for hearing is the whisper tests. Which cranial nerve is being tested when the nurse practitioner conducts this test?

Answer 15

Cranial nerve VIII